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CRYSTAL HOME HEALTHCARE PHCY NPI 1255346870


NPI Information

NPI: 1255346870
Provider Name: CRYSTAL HOME HEALTHCARE PHCY
Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
15819 SCHOOLCRAFT ST
DETROIT, MI
ZIP 48227
Phone: (313) 493-4900
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CRYSTAL HOME HEALTHCARE PHCY is a pharmacy in Detroit, MI. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CRYSTAL HOME HEALTHCARE PHCY NPI is 1255346870. The provider is registered as an organization entity type.

The provider's business location address is:

15819 SCHOOLCRAFT ST
DETROIT, MI
ZIP 48227-749
Phone: (313) 493-4900
Fax: (313) 493-4904

The provider's authorized official is Jonathan Adams .
The authorized official title is Phcy Mgr and has the following contact phone number (313) 493-4900.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy5301008320MICHIGANYes
23336C0003XPharmacyCommunity/Retail PharmacyX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12368086OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.